Yenta -“Are you sure you aren’t violating either HIPPA or the hospital policy?”
Who posted the bold? A Mod? Whomever did has no clue about medical laws and/or policies.
“R thigh pain from admission on. no swelling, edema, redness but had decreased ROM; thigh circ was equal bilat. refused to put weight on the extremity and changed positions infrequently.
the doctors have no clue what caused to clot or who a kid that young can get them. he was placed on lovenox which did not help. changed to heparin drip @ 20units/kilo then increased to 22/kilo. the doctors are unsure which came first-the abscess or the clot.”
Sounds like an interesting case. In cases like these, if just from the DVT alone you’d think genetic Heme problems. Being there is an abcess while a workup for hematology pathology is still probably required, I wouldn’t go with that first. Usually an abscess is caused by an outside source. But over here there was no outer symptoms. This tends to make me think that the abscess started due to a needle. I don’t know how old this kid is, but sometimes it could be drug abuse. It could even be the kid’s first time, some peer pressured him/her to try a drug with a needle. If it was drug abuse this would explain the abscess. The dirty needle caused an infection deep down. This could have caused the DVT and everything else could be subsequent to these issues. Getting the kid to admit this would require a good provider to pt relationship. The kid would probably be scared to speak about the incident.
“(worst pt ever was the violent drug seeker).”
This is interesting. These pts come a dime a dozen. How could this be the worse, unless you forgot to duck? If you forgot the first time and you got clobbered -you’ll never forget the second time! LOL